| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
103,116 |
66,518 |
$21.86M |
| H2016 |
Comp comm supp svc, per diem |
80,145 |
2,825 |
$18.49M |
| T1020 |
Personal care ser per diem |
80,110 |
2,826 |
$13.01M |
| H0039 |
Asser com tx face-face/15min |
51,024 |
7,316 |
$10.52M |
| T2022 |
Case management, per month |
18,113 |
18,112 |
$9.51M |
| H2011 |
Crisis interven svc, 15 min |
22,957 |
14,984 |
$7.38M |
| H0036 |
Comm psy face-face per 15min |
21,440 |
6,226 |
$6.95M |
| T1023 |
Program intake assessment |
12,633 |
9,075 |
$6.86M |
| 99214 |
|
27,977 |
25,423 |
$6.53M |
| H0032 |
Mh svc plan dev by non-md |
14,599 |
13,313 |
$5.45M |
| H2030 |
Mh clubhouse svc, per 15 min |
79,007 |
8,122 |
$5.45M |
| 90847 |
|
23,668 |
12,904 |
$4.08M |
| 96372 |
|
10,320 |
8,325 |
$3.17M |
| H0031 |
Mh health assess by non-md |
6,261 |
6,141 |
$2.95M |
| 90837 |
|
11,563 |
8,193 |
$2.85M |
| 90791 |
|
5,837 |
5,767 |
$2.62M |
| T1016 |
Case management |
12,327 |
7,600 |
$2.43M |
| 90834 |
|
18,211 |
13,530 |
$2.39M |
| S0280 |
Medical home, initial plan |
9,237 |
5,866 |
$2.06M |
| H0038 |
Self-help/peer svc per 15min |
8,383 |
3,669 |
$1.51M |
| H2000 |
Comp multidisipln evaluation |
4,121 |
2,966 |
$1.48M |
| T1001 |
Nursing assessment/evaluatn |
4,084 |
4,034 |
$1.36M |
| 90792 |
|
2,093 |
2,027 |
$1.16M |
| S5111 |
Family homecare train/sessio |
4,697 |
1,801 |
$1.06M |
| T1002 |
Rn services up to 15 minutes |
4,345 |
4,073 |
$1.05M |
| H2015 |
Comp comm supp svc, 15 min |
13,694 |
1,379 |
$920K |
| 90832 |
|
7,616 |
6,172 |
$895K |
| 90853 |
|
4,666 |
2,044 |
$890K |
| S9482 |
Family stabilization 15 min |
2,569 |
888 |
$818K |
| H2021 |
Com wrap-around sv, 15 min |
2,411 |
700 |
$799K |
| H0002 |
Alcohol and/or drug screenin |
1,565 |
1,523 |
$553K |
| Q3014 |
Telehealth facility fee |
6,728 |
5,756 |
$343K |
| 99213 |
|
1,634 |
1,464 |
$327K |
| 99212 |
|
909 |
799 |
$184K |
| 90846 |
|
793 |
586 |
$150K |
| S0281 |
Medical home, maintenance |
1,128 |
1,118 |
$117K |
| 0365T |
|
588 |
58 |
$92K |
| 99215 |
Prolong outpt/office vis |
239 |
221 |
$67K |
| H2014 |
Skills train and dev, 15 min |
1,137 |
101 |
$60K |
| 96101 |
|
82 |
65 |
$50K |
| T1005 |
Respite care service 15 min |
620 |
65 |
$44K |
| 0369T |
|
269 |
56 |
$39K |
| H2023 |
Supported employ, per 15 min |
411 |
66 |
$19K |
| 0364T |
|
604 |
59 |
$17K |
| 0368T |
|
279 |
56 |
$16K |
| T1999 |
Noc retail items andsupplies |
43 |
40 |
$13K |
| T2036 |
Camp overnite waiver/session |
66 |
13 |
$10K |
| H0045 |
Respite not-in-home per diem |
64 |
13 |
$8K |
| B4150 |
Ef complet w/intact nutrient |
80 |
76 |
$8K |
| S9484 |
Crisis intervention per hour |
27 |
20 |
$8K |
| 0370T |
|
59 |
34 |
$7K |
| 96137 |
|
15 |
15 |
$6K |
| 96136 |
|
15 |
15 |
$5K |
| T2025 |
Waiver service, nos |
22 |
22 |
$5K |
| S5116 |
Nonfamily hc train/session |
14 |
12 |
$4K |
| 92507 |
|
50 |
12 |
$4K |
| 99211 |
|
17 |
17 |
$3K |